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Nowadays, we are dealing more frequently with the entity of large intestine polyps, as endoscopy and bowel cancer screening programmes are rapidly expanding. Often a single polyp is involved, but more complex situations are also encountered, including the well-defined pattern of polyposis. These situations can fall into a gray area, not only for diagnosis, but also for the correct treatment and follow-up. New developments in pathophysiology and treatment options are leading to new questions. This handbook aims to offer a integrated approach for all physicians (doctors) who deal with these issues, by presenting up-to-date discussion from genetics through treatment, to implications of genetic counseling. It will also help specialists to offer more "evidence-based" treatments, by implementing the best clinical individual judgement informed by the best current scientific evidence.
List of contents
The Imapact of Bowel Cancer Screening.- Pathological Features of Sporadic Colonic Adenoma.- Serrated Neoplasia Pathway.- Genetic and Clinical Features of Familial Adenomatous Polyposis (FAP) and Attenuated FAP.- Not Only FAP Other Rare Polyposis Syndromes.- Diet, Polyps, and Cancer Where is the Truth?.- Chemoprevention of Colonic Cancer Is There a Foreseeable Future?.- The Role of Imaging in Colonic Polyps and Polyposis.- Rectal Polyps and Early Rectal Cancer Assessment by Three-Dimensional Endorectal Ultrasonography.- What is What? Clinical Vignettes of Multiple Polyps.- Diagnosis and Treatment of Upper Gastrointestinal Polyps in Polyposis.- Lower Gastrointestinal Endoscopy For Polyps and Polyposis.- Management and Treatment of Complications in Diagnostic and Therapeutic Lower Gastrointestinal Tract Endoscopy.- Follow-up After Endoscopic Polypectomy.- Surgical Options for Familial Adenomatous Polyposis.- Restorative Protocolectomy with Ileal Pouch- Anal Anastomosis for FAP.- Rectal Polyps after Ileorectal Anastomosis What is The Future?.- Anorectal Polyps and Polypoid Lesions.- Polypectomy of Anorectal Polyps and Polypoid Lesions Why, When, and How?.- Quality of Life and Familial Adenomatous Polyposis Patients.- Psychological and Medico-Legal Aspect of Genetic Counseling in Familial Adenomatous Polyposis.- The Role of a Registry in Familial Adenomatous Polyposis.- Coping With FAP The Roll of Patients' Associations.
About the author
Prof. Delaini already edited two volumes: "Rectal Cancer" (ISBN 88-470-0342-3) in 2005 and "Inflammatory Bowel Disease and Familial Adenomatous Polyposis" ( 978-88-470-0433-7) in 2006.
He is Chief of the Surgery Division of the Policlinic in Verona and has been the first President of the Italian Soc. of Colo-Rectal Surgery.
Summary
Nowadays, we are dealing more frequently with the entity of large intestine polyps, as endoscopy and bowel cancer screening programmes are rapidly expanding. Often a single polyp is involved, but more complex situations are also encountered, including the well-defined pattern of polyposis. These situations can fall into a gray area, not only for diagnosis, but also for the correct treatment and follow-up. New developments in pathophysiology and treatment options are leading to new questions. This handbook aims to offer a integrated approach for all physicians (doctors) who deal with these issues, by presenting up-to-date discussion from genetics through treatment, to implications of genetic counseling. It will also help specialists to offer more "evidence-based" treatments, by implementing the best clinical individual judgement informed by the best current scientific evidence.
